Pharmacy Manager, 340B Program
Location: Hybrid schedule, physically located at Tufts Medical Center, system-level compliance responsibilities for both Tufts Medical Center and Lowell General Hospital
Job Description
Minimum Qualifications:
1. Bachelor’s degree in Pharmacy.
2. Pharmacist License.
3. Five (5) years of hospital pharmacy experience including supervisory responsibilities.
Preferred Qualifications:
1. PharmD.
2. Completion of a general pharmacy residency and a specialty residency.
3. Eight (8) years of hospital pharmacy experience including supervisory responsibilities.
4. Experience in drug utilization review and analysis.
5. Experience with Electronic Medical Records.
General Description and Goals
The 340B Program Manager is a member of the Department of Pharmacy's Leadership Team at Tufts Medical Center, with primary responsibility for assuring system-wide compliance with the 340B Drug Pricing Program and oversight of Contract Pharmacy agreements across both acute care and ambulatory settings at Tufts Medical Center and Lowell General Hospital. This role serves as the subject matter expert within the Department of Pharmacy and as the 340B Oversight Committee chair and liaison with Contract Pharmacy and third-party administrator representatives.
The Program Manager provides leadership for the development, implementation, and maintenance of policies and guidelines pertaining to the 340B Program, and maintains a broad-based, current knowledge of 340B regulations to safeguard ongoing, organization-wide compliance. The role includes delivering 340B education to Tufts Medicine employees on a yearly basis and serving as the go-to resource for all 340B-related issues, in coordination with pharmacy, compliance, legal, and finance stakeholders.
Responsibilities Include:
Program Leadership & Committee Oversight
1. Serve as the coordinator and leader of the 340B Oversight Committee, which includes members from senior leadership, pharmacy, compliance, legal, government affairs, reimbursement, supply chain, and finance.
2. Organize and lead weekly 340B meetings and quarterly 340B Oversight Committee meetings.
3. Serve as the primary program liaison and 340B compliance expert for the Department of Pharmacy, connecting with affiliated departments to ensure program integrity.
4. Actively engage with senior leadership and participate in decision-making related to the implementation of new 340B processes and initiatives.
Policy & Procedure Development
1. Provide leadership for implementing and maintaining policies and guidelines pertaining to the 340B Program.
2. Evaluate and document changes to 340B regulations; update policies and procedures to maintain ongoing compliance.
3. Ensure policies and procedures are developed, approved by Legal, and maintained in accordance with organizational, state, and federal requirements, without creating unnecessary operational cost or burden.
Regulatory Monitoring & HRSA Registration
1. Maintain a broad-based, current knowledge of 340B regulations to maintain system-wide compliance.
2. Assure that information on the HRSA website (OPAIS) is correct, and notify the primary contact and authorizing official of any changes needed.
3. Monitor 340B guidance and rule changes — including HRSA/OPA rules and Medicaid updates — and attend 340B trainings, sharing key updates and hot topics with staff.
4. Ensure the annual HRSA recertification and registration of any new child sites are completed within the required time frame.
Auditing & Compliance Monitoring
1. Assure claim audits are completed in a timely manner.
2. Develop, execute, and document self-audits of the 340B process, and coordinate remediation of any findings.
3. Conduct or coordinate annual audits of all contract pharmacies and monthly audits of 340B-eligible locations to verify adherence to program guidelines.
4. Serve as the point person for external and independent audits, coordinating all requests and responses and maintaining a continual…